Efficacy of companion-integrated childbirth preparation for childbirth fear, self-efficacy, and maternal support in primigravid women in Malawi

Munkhondya, Berlington; Munkhondya, Tiwonge Ethel Mbeya; Chirwa, Ellen; Wang, Honghong

doi:10.1186/s12884-019-2717-5

Cited by 48 publications

(48 citation statements)

References 40 publications

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“…In the present study, no significant difference was found between the regularly-attending and irregularlyattending groups in terms of the mean scores of fear, anxiety and depression. The results of studies have shown that shorter training sessions were also effective in reducing fear of childbirth and anxiety [5,27,28]. Therefore, pregnant women should be encouraged to attend as many sessions as they can if they are not able to not attend all the sessions.…”

Section: Discussionmentioning

confidence: 99%

Fear of childbirth, anxiety and depression in three groups of primiparous pregnant women not attending, irregularly attending and regularly attending childbirth preparation classes

et al. 2020

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Background: Lack of knowledge and fear of the unknown during pregnancy and childbirth make mothers fearful, worried, and anxious. Maternal fear and anxiety can lead to problems such as preterm childbirth and low birth weight. Increasing women's knowledge through prenatal education can prepare them for childbirth and improve their health. The present study was conducted to compare fear of childbirth, anxiety and depression during pregnancy in three groups of primiparous pregnant women who were either not attending, irregularly attending, or regularly attending childbirth preparation classes. Methods: A total of 204 primiparous pregnant women attending health centers in Tabriz, Iran, were selected by cluster sampling and assigned to the following three groups: Not attending, irregularly attending (attending one to three sessions of classes) and regularly attending (attending four to eight sessions of classes). Childbirth fear, pregnancy anxiety and depression questionnaires were completed for them through interviews. The general linear model was used to compare their fear of childbirth and prenatal anxiety and depression. Results: According to the general linear model, the scores of fear of childbirth (p < 0.001), anxiety (p < 0.001) and depression (p = 0.006) were significantly lower in the group of pregnant women regularly attending the classes compared to the non-attending group of women. No significant differences were observed between the regularlyattending and irregularly-attending groups in terms of fear of childbirth (p = 0.066), anxiety (p = 0.078), and depression (p = 0.128). Conclusion: Prenatal training can reduce fear, anxiety and depression in primiparous women. Incorporating such training into prenatal care helps improve maternal health.

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Section: Discussionmentioning

confidence: 99%

Fear of childbirth, anxiety and depression in three groups of primiparous pregnant women not attending, irregularly attending and regularly attending childbirth preparation classes

et al. 2020

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“…In fact, they tried to reduce their fear of childbirth by providing the necessary conditions and providing the conditions to gain postpartum social support. In previous research, planning for the day of delivery and providing the needed facilities were women’s strategies to reduce childbirth fear ( 47 , 58 , 59 ). The positive effects of social support on pregnant women during childbirth and later were indicated in the study of Spoozak et al ( 30 ).…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 33% of pregnant women have a fear of childbirth in the last trimester of pregnancy and 11 to 14% of them experience severe fear of childbirth ( 13 ). Fear of childbirth can have many complications such as depression, abortion, increase of cesarean section ( 14 , 15 ), posttraumatic stress disorder ( 16 ) as well as negative effects on child health ( 17 – 19 ). Previous studies have shown that fear of childbirth is influenced by various factors such as mothers’ beliefs and personality traits ( 20 ), concerns about child health, low educational status, lack of support during pregnancy ( 21 ), having experience of sexual and physical abuse in childhood ( 22 ), and poor knowledge and interactions with medical staff ( 23 ).…”

Section: Introductionmentioning

confidence: 99%

Causes and Grounds of Childbirth Fear and Coping Strategies Used by Kurdish Adolescent Pregnant Women in Iran: A Qualitative Study

Lebni

Farahani²,

Solhi

et al. 2020

JRI

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Background: Fear of childbirth is one of the most common problems among pregnant women that can threaten their and their baby’s health. Therefore, the purpose of this study was to explore the causes and grounds of childbirth fear and the strategies used by pregnant adolescent women in Iran to overcome such fears. Methods: In this study, which was conducted among primiparous Kurdish women in Iran, conventional qualitative content analysis was used. Data were selected through purposive sampling and semi-structured interviews. Data saturation was reached with 15 participants. The Lincoln and Guba criteria were used to strengthen the research. Results: After analyzing the data, two main categories were resulted. The first category was fear of childbirth with subcategories of fear of child health, fear of childbirth process, fears about inappropriate medical staff performance, fears about hospital environment, and postpartum fears. The second category was strategies to reduce childbirth fear with subcategories of choosing appropriate medical centers, increasing information on childbirth, avoiding stressful sources, improving self-care, getting prepared for delivery day in advance, and resorting to spirituality. Conclusion: Pregnancy in adult age is better than adolescent age. The women’s fear can be reduced by increasing their assurance about child health, providing appropriate training during pregnancy, explaining the whole process of childbirth and making it easier, improving the hospital environment and medical staff specialization, as well as providing appropriate conditions for further care and support after birth.

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“…Several studies have examined the effectiveness of a childbirth education program during pregnancy on childbirth self-efficacy and fear of childbirth. A recent study examined the effectiveness of a companion-integrated childbirth preparation, designed to educate and support pregnant women and their birth companions, and found promising effects on fear of childbirth and childbirth self-efficacy [ 63 ]. Two randomized controlled trials on a childbirth psychoeducational program showed a reduction in fear of childbirth in the intervention group [ 64 , 65 ].…”

Section: Discussionmentioning

confidence: 99%

Development of the Labor Pain Relief Attitude Questionnaire for pregnant women (LPRAQ-p)

Hulsbosch

Nyklı́ček

Potharst

et al. 2020

BMC Pregnancy Childbirth

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Background Receiving epidural analgesia during labor can possibly have negative consequences for mother and child. Yet, the use of epidural analgesia rapidly increased in the Netherlands over the last decade. Since antenatal plans for labor pain relief have been related to epidural analgesia use during labor, the aim of the current study was to develop a Labor Pain Relief Attitude Questionnaire for pregnant women (LPRAQ-p). Methods Three focus group interviews were conducted with pregnant women, new mothers and caregivers and 13 candidate items were derived. Psychometric properties were tested with explorative factor analysis in sample I (N = 429) and a subsequent confirmatory factor analysis in a different sample II (N = 432). Results The explorative factor analysis suggested a two-factor seven-item solution: a ‘women’s perception’ and ‘social environment’ subscale. The confirmatory factor analysis confirmed an excellent six-item model fit with appropriate internal consistency. Higher scores on the six-item LPRAQ-p indicate greater willingness for request of pain relief medication during labor. Two-tailed t-tests showed that women with elevated levels of depression and pregnancy-specific distress symptoms, nulliparous women and multiparous women with complications during a previous delivery had greater willingness for request of pain relief medication during labor. Linear regression showed that the most important association with higher scores on the LPRAQ-p were high pregnancy-specific distress symptoms. Conclusions This study showed the LPRAQ-p to be a valid instrument to evaluate attitude towards labor pain relief in pregnant women. High scores on this questionnaire are associated with high levels of pregnancy-specific distress symptoms.

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Efficacy of companion-integrated childbirth preparation for childbirth fear, self-efficacy, and maternal support in primigravid women in Malawi

Cited by 48 publications

References 40 publications

Fear of childbirth, anxiety and depression in three groups of primiparous pregnant women not attending, irregularly attending and regularly attending childbirth preparation classes

Fear of childbirth, anxiety and depression in three groups of primiparous pregnant women not attending, irregularly attending and regularly attending childbirth preparation classes

Causes and Grounds of Childbirth Fear and Coping Strategies Used by Kurdish Adolescent Pregnant Women in Iran: A Qualitative Study

Development of the Labor Pain Relief Attitude Questionnaire for pregnant women (LPRAQ-p)

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